Individual
DR. JOHN M IPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 RIDGE ST STE 301, COUNCIL BLUFFS, IA 51503-4643
(712) 256-0791
(712) 256-0807
Mailing address
201 RIDGE ST STE 301, COUNCIL BLUFFS, IA 51503-4643
(712) 256-0791
(712) 256-0807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25954
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044065
—
IA
Enumeration date
08/19/2005
Last updated
02/22/2024
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